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Individual
VIRGINIA RUTH WATERMAN
Active
Individual
VIRGINIA RUTH WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW C008024
NORTH CAROLINA STATE BOARD OF SOCIAL WORK
NC
Enumeration date
01/04/2012
Last updated
11/13/2012
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